| NPI | 1740593417 |
|---|---|
| Other Name | JOSEPH W CANNON |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA dds31582) |
| Enumeration Date | 2010-07-22 |
| Last Update Date | 2019-04-12 |